Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.19 / $289.95 / $393.66	Facility	26	$130.19	$289.95	$393.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $151.27 / $810.00	Professional		$129.24	$151.27	$810.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.31 / $55.26 / $111.21	Professional	TC	$45.31	$55.26	$111.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $121.36 / $241.96	Professional		$118.33	$121.36	$241.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $48.19 / $96.08	Professional	TC	$46.99	$48.19	$96.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $197.70 / $297.14	Professional		$123.30	$197.70	$297.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.32 / $75.95 / $119.77	Professional	TC	$44.32	$75.95	$119.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $425.13 / $425.13	Facility	26	$219.19	$425.13	$425.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $150.75 / $1,161.00	Professional		$129.76	$150.75	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $69.90 / $585.04	Professional	TC	$44.17	$69.90	$585.04
United Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $150.75 / $294.04	Professional		$126.17	$150.75	$294.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $61.94 / $113.41	Professional	TC	$44.17	$61.94	$113.41